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It is worth noting that our participants had a higher baseline BMI (mean 41.5 kg m 2 ) than in the STEP 1 trial (37.9 kg m 2 ), with some studies 24 showing that greater weight loss is observed with a higher baseline BMI, which may explain the greater %WL observed in our trial

The best Combining with the B12 has eliminated any nausea

Insert the needle at a 45-90 degree angle

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Vomiting: Less common than nausea (about 9% of patients) but can occur, especially if you eat too much too quickly